Atencion Primaria最新文献

{"title":"Patients’ experiences of long-covid neuropsychological symptoms: Comment","authors":"Hinpetch Daungsupawong , Viroj Wiwanitkit","doi":"10.1016/j.aprim.2025.103241","DOIUrl":"10.1016/j.aprim.2025.103241","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 8","pages":"Article 103241"},"PeriodicalIF":1.8,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143437662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Docencia de la consulta telefónica en Atención Primaria en el grado de Medicina: una experiencia consolidada en la Facultad de Medicina de la Universidad de Cádiz","authors":"Manuel-María Ortega-Marlasca ,&nbsp;Antonio Rodriguez Navas","doi":"10.1016/j.aprim.2025.103225","DOIUrl":"10.1016/j.aprim.2025.103225","url":null,"abstract":"<div><div>We share our experience for 3 years teaching Medicine Degree inside Family Medicine and Emergencies subject in a specific seminar about telemedicine through telephone consultation, something already common in our daily life and which is not included in the usual program of the subject in other medical degrees.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 8","pages":"Article 103225"},"PeriodicalIF":1.8,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143437661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Empoderamiento del paciente y ética en telemedicina: una mirada desde la Atención Primaria","authors":"Marta Cárdenas-Ramos ,&nbsp;Robert Panadés Zafra ,&nbsp;Aïna Fuster-Casanovas ,&nbsp;Montserrat Ciurana Tebé ,&nbsp;Alba Junyent Bastardas ,&nbsp;Alejandro Cervera García","doi":"10.1016/j.aprim.2025.103227","DOIUrl":"10.1016/j.aprim.2025.103227","url":null,"abstract":"<div><div>Telemedicine presents an opportunity to enhance primary care by promoting more equitable access to healthcare services and fostering patient empowerment. By enabling remote communication, personalised care, and access to medical information, patients can take an active role in their healthcare. However, to fully realise its benefits, it is crucial to address ethical challenges such as privacy, data security, and equity in access. For its successful implementation, it is necessary to provide training for both patients and healthcare professionals, ensuring that technology is integrated without compromising the quality of care. In addition, telemedicine should be complemented by face-to-face consultations and respect fundamental ethical principles, such as autonomy and informed consent. In primary care, its adoption must ensure inclusive access tailored to diverse needs, avoiding the perpetuation of inequalities and improving health outcomes.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 7","pages":"Article 103227"},"PeriodicalIF":1.8,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143422592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Salud mental y telemedicina en la atención primaria rural del Perú: influencia y diferencias de género en el estigma y la aceptación","authors":"Percy J. Vásquez-Paredes ,&nbsp;José D. Esquivel-Cerquín","doi":"10.1016/j.aprim.2025.103229","DOIUrl":"10.1016/j.aprim.2025.103229","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze gender differences in the perception of mental health–related stigma and the acceptance of telemedicine in rural Peruvian communities served at the primary care level.</div></div><div><h3>Design</h3><div>Cross-sectional, correlational study.</div></div><div><h3>Setting</h3><div>Two rural communities in Peru: Villa Salvación (Manu, Madre de Dios) and Hierba Buena (Cajabamba, Cajamarca).</div></div><div><h3>Participants</h3><div>A total of 339 individuals over 18 years old, selected through stratified probabilistic sampling (178 men and 161 women).</div></div><div><h3>Main Measurements</h3><div>Outcome variables included perceptions of mental health (understanding, valuation), stigma (fear of social judgment), willingness to use telemedicine, and privacy concerns. Explanatory variables were sex, educational level, length of residence, and type of health insurance. Proportions and adjusted odds ratios (OR) with 95% confidence intervals were calculated using logistic regression.</div></div><div><h3>Results</h3><div>Greater understanding and valuation of mental health were positively associated with educational level in both genders <em>(P</em>&lt;.05). However, women showed greater concern about social stigma when seeking help (47% feared «what others might say» vs. 38% in men; adjusted OR<!--> <!-->=<!--> <!-->1.5; 95%<span>C</span>I: 1.0-2.4), while men were more skeptical about telemedicine's effectiveness (42% expressed doubts vs. 30% in women; adjusted OR<!--> <!-->=<!--> <!-->1.6; 95%CI: 1.0-2.5). No significant gender differences were observed in overall willingness to use telemedicine or in privacy concerns.</div></div><div><h3>Conclusions</h3><div>There are gender-related differences in perceptions of stigma and the evaluation of telemedicine in rural settings. While women face greater social pressure due to stigma, men are more likely to question the effectiveness of virtual care. These findings highlight the need for primary care interventions that consider gender dynamics to enhance the acceptance and effectiveness of telemedicine for mental health in rural communities.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 8","pages":"Article 103229"},"PeriodicalIF":1.8,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hallazgo imagenológico de lipoma en la glándula suprarrenal: análisis y diagnóstico","authors":"Edgar García Rojas,&nbsp;Paola Guadalupe Aguilar Mérito,&nbsp;Dayana Reyes Gabriel","doi":"10.1016/j.aprim.2024.103136","DOIUrl":"10.1016/j.aprim.2024.103136","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 7","pages":"Article 103136"},"PeriodicalIF":1.8,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143422593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telemedicina en países en desarrollo y cooperación","authors":"Agustín Francisco Rossetti ,&nbsp;María Jesús Castaño Suero ,&nbsp;Ángela Sampedro Elvira ,&nbsp;Teresa Reimat Corbella ,&nbsp;Federica Gutierrez de Quijano Miceli ,&nbsp;Marta Guerrero Muñoz","doi":"10.1016/j.aprim.2025.103226","DOIUrl":"10.1016/j.aprim.2025.103226","url":null,"abstract":"<div><div>Telemedicine provides remote healthcare services through digital technologies, with applications in medical assistance, ongoing professional education, and research. Notable projects include the monitoring of chronic diseases such as hypertension and diabetes, maternal and child health programs, and support for HIV patients. It is a tool with great potential to address some of the challenges faced by both developed and developing countries in providing accessible, affordable, and high-quality healthcare services. However, it faces significant barriers, such as the lack of technical, financial, and human resources, as well as inadequate regulatory frameworks. To maximize its impact, it is essential to overcome structural challenges and foster international cooperation, promoting equity and social justice globally.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 6","pages":"Article 103226"},"PeriodicalIF":1.8,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ciberseguridad y salud, riesgos en el siglo xxi","authors":"Henry César Rivas Sucari","doi":"10.1016/j.aprim.2025.103233","DOIUrl":"10.1016/j.aprim.2025.103233","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 6","pages":"Article 103233"},"PeriodicalIF":1.8,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial intelligence and natural language processing for improved telemedicine: Before, during and after remote consultation","authors":"Tiago Cunha Reis","doi":"10.1016/j.aprim.2025.103228","DOIUrl":"10.1016/j.aprim.2025.103228","url":null,"abstract":"<div><div>The rapid evolution of telemedicine has revealed significant documentation and workflow challenges. Clinicians often struggle with the administrative burdens of telehealth visits, sacrificing valuable time better spent in direct patient interaction. This issue is further compounded by the need to maintain accurate and comprehensive records, which can be time-consuming and prone to error when approached manually. In this context, integrating artificial intelligence (AI) and natural language processing (NLP) technologies presents a transformative opportunity. Automating documentation and enhancing workflow efficiency can revolutionize healthcare delivery, alleviating clinician workloads and improving clinical quality and patient safety. Therefore, examining the application of these cutting-edge technologies becomes imperative in addressing the pressing needs of modern healthcare and optimizing health outcomes. The significance of integrating AI and NLP technologies in clinical remote practice cannot be overstated. Hence, this article aims to inspire and motivate healthcare professionals to embrace these transformative changes.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 8","pages":"Article 103228"},"PeriodicalIF":1.8,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prescripción prolongada de antidepresivos en atención primaria. Impacto en la salud pública","authors":"Antonio José Madueño-Caro ,&nbsp;Gonzalo Berro-Ramírez ,&nbsp;Luis Chávez-Gata ,&nbsp;Rubén Torrescusa-Camisón ,&nbsp;José Antonio Climent-Rodríguez ,&nbsp;Yolanda Navarro-Abal ,&nbsp;Juan Gómez-Salgado","doi":"10.1016/j.aprim.2025.103234","DOIUrl":"10.1016/j.aprim.2025.103234","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the variables associated with the prescription of long-term antidepressants (more than three years) to patients in a primary health area.</div></div><div><h3>Design</h3><div>Descriptive observational study.</div></div><div><h3>Site</h3><div>Basic health area of primary care.</div></div><div><h3>Participants</h3><div>A sample of 315 participants assigned to a basic health area, who have been prescribed at least one antidepressant during a calendar year.</div></div><div><h3>Interventions</h3><div>Institutional information sources.</div></div><div><h3>Main measurements</h3><div>Those variables that can be associated with a prolonged prescription of antidepressants. The selection of the patients was carried out by simple random sampling. Analysis using Chi-Square contrast for the comparison of proportions. Multivariate binary logistic regression to observe possible associations in the set of variables.</div></div><div><h3>Results</h3><div>The study analyzed a majority of women (75.2%) with a mean age of 61.7 years (SD<!--> <!-->=<!--> <!-->38.18). SSRIs (Selective Serotonin Reuptake Inhibitors) were the most commonly used antidepressants (50.5%), especially sertraline. Dysthymia was the main diagnosis (17%). Prolonged duration of treatment was associated with SSRIs and dysthymia. Logistic regression showed relevant factors: dysthymia, age, number of antidepressants, and SSRI use.</div></div><div><h3>Conclusion</h3><div>There is a high prevalence of prescription beyond three years. It is observed how dysthymic disorder is associated with a prolonged duration of treatment, as well as age, SSRI use, antidepressant change, and the total number of antidepressants prescribed.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 8","pages":"Article 103234"},"PeriodicalIF":1.8,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Riesgo continuo vascular con cifras de presión arterial altas. Comentario sobre recomendaciones vasculares y HTA PAPPS 2024","authors":"Miguel Angel María Tablado","doi":"10.1016/j.aprim.2025.103231","DOIUrl":"10.1016/j.aprim.2025.103231","url":null,"abstract":"","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 4","pages":"Article 103231"},"PeriodicalIF":1.8,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143388392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}